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在接受关节镜下前交叉韧带重建手术的患者术后管理中使用冷疗法。

The use of cold therapy in the postoperative management of patients undergoing arthroscopic anterior cruciate ligament reconstruction.

作者信息

Edwards D J, Rimmer M, Keene G C

机构信息

SPORTSMED SA, Adelaide, Australia.

出版信息

Am J Sports Med. 1996 Mar-Apr;24(2):193-5. doi: 10.1177/036354659602400213.

DOI:10.1177/036354659602400213
PMID:8775119
Abstract

In this prospective, randomized study we assessed the use of cold therapy after arthroscopic anterior cruciate ligament reconstruction. Seventy-one patients were randomly allocated, without the knowledge of the single surgeon, to one of three groups: Group I had an ice water-filled CryoCuff fitted in the operating theater after surgery, Group II had room temperature water in the CryoCuff, and Group III patients had no CryoCuff. Patients were well matched for age, sex, and associated surgery. An independent observer measured blood loss, analgesic use, range of motion, and visual analog pain scores postoperatively. There were no differences between any of the three groups regarding the variables measured. The use of cold therapy devices as an adjunct to the postoperative management of these patients must be questioned.

摘要

在这项前瞻性随机研究中,我们评估了关节镜下前交叉韧带重建术后冷疗的应用。71名患者在主刀医生不知情的情况下被随机分为三组:第一组在术后于手术室安装充满冰水的CryoCuff;第二组的CryoCuff中装的是室温的水;第三组患者不使用CryoCuff。患者在年龄、性别和相关手术方面匹配良好。一名独立观察者测量了术后的失血量、镇痛药使用情况、活动范围和视觉模拟疼痛评分。在测量的变量方面,三组之间没有差异。作为这些患者术后管理辅助手段的冷疗设备的使用必须受到质疑。

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